SWAN HEALTH & WELLNESS LLC NPI 1245703149

NPI Information

NPI: 1245703149
Provider Name: SWAN HEALTH & WELLNESS LLC
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
1174 IDLEWOOD DR
WACO, TX
ZIP 76705
Phone: (254) 214-2558
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SWAN HEALTH & WELLNESS LLC is a primary care nurse practitioner in Waco, TX. SWAN HEALTH & WELLNESS LLC NPI is 1245703149. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1174 IDLEWOOD DR
WACO, TX
ZIP 76705-238
Phone: (254) 214-2558

The provider's authorized official is Chandra Montgomery .
The authorized official title is Managing Member and has the following contact phone number (254) 214-2558.

The enumeration date for this NPI number is 1/3/2019 and was last updated on 6/15/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP2300X	Nurse Practitioner	Primary Care			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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